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工作场所暴力与护士心理健康:倦怠的中介作用及心理弹性的调节作用。

Workplace violence and nurses' psychological well-being: The mediating role of burnout and the moderating role of psychological resilience.

机构信息

Nevsehir University, Faculty of Health Sciences, 50300 Nevsehir, Turkey.

Nevsehir University, Faculty of Economics and Administrative Sciences, 50300 Nevsehir, Turkey.

出版信息

Arch Psychiatr Nurs. 2024 Dec;53:177-183. doi: 10.1016/j.apnu.2024.10.015. Epub 2024 Oct 15.

DOI:10.1016/j.apnu.2024.10.015
PMID:39615933
Abstract

Workplace violence can harm healthcare professionals. It can cause bodily harm, psychological distress, and even death. Moreover, it creates an unpleasant workplace that lowers morale and productivity. To provide quality patient care without fear of danger or intimidation, healthcare organizations must keep their personnel safe from violence. This article examines workplace violence and nurses' psychological relationship with nurses' burnout as the mediator. Psychological resilience's moderating role between workplace violence and nurses' psychological well-being is also examined. The data of this study includes 945 nurses from 15 university hospitals in Turkey. The proposed model was tested by using hierarchical multiple regression analysis. This study showed that workplace violence and burnout negatively affect nurses' mental health. Psychological resilience also weakens the relationship between workplace violence and nurses' psychological well-being. The study suggests that healthcare administrators may build a secure and supportive workplace by enacting workplace violence prevention and response policies. They can also be trained in recognizing and responding to warning signals of violence. Nurses should feel safe reporting violence concerns. Moreover, nurses with high workplace violence and low psychological well-being must emphasize psychological resilience's buffering effect.

摘要

工作场所暴力会伤害医护人员。它会造成身体伤害、心理困扰,甚至死亡。此外,它还会营造出一个不愉快的工作环境,降低士气和生产力。为了在没有危险或恐吓的情况下提供高质量的患者护理,医疗机构必须确保其人员免受暴力侵害。本文研究了工作场所暴力以及护士的心理与护士倦怠之间的关系,同时还探讨了心理弹性在工作场所暴力与护士心理健康之间的调节作用。本研究的数据来自土耳其 15 所大学医院的 945 名护士。通过分层多元回归分析对提出的模型进行了检验。研究表明,工作场所暴力和倦怠会对护士的心理健康产生负面影响。心理弹性也会削弱工作场所暴力与护士心理健康之间的关系。研究表明,医疗机构管理人员可以通过制定工作场所暴力预防和应对政策来营造一个安全和支持性的工作环境。他们还可以接受培训,以识别和应对暴力的预警信号。护士应该感到安全地报告暴力问题。此外,对于工作场所暴力较高且心理健康较低的护士,必须强调心理弹性的缓冲作用。

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